| NPI | 1780940270 |
|---|---|
| Other Name | TEXAS CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BUKOSKY President Ppm 972-847-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-11-08 |